Granulomatous invasive aspergillosis of paranasal sinuses masquerading as actinomycosis and review of published literature

Mycopathologia. 2014 Apr;177(3-4):179-85. doi: 10.1007/s11046-014-9732-x. Epub 2014 Feb 26.

Abstract

Cutaneous aspergillosis is a common systemic mycosis affecting immunosuppressed patients. Here, we describe a novel morphological type of cutaneous aspergillosis in a young immunocompetent woman who presented with a chronic history of multiple nodules and discharging sinuses over left side of the face, mimicking cervicofacial actinomycosis. Skin biopsy showed granulomatous inflammation, and of septate fungal hyphae with acute-angled branching, morphologically resembling Aspergillus. This was confirmed on fungal culture as Aspergillus flavus.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Actinomycosis / diagnosis
  • Actinomycosis / microbiology
  • Adult
  • Aspergillosis / diagnosis*
  • Aspergillosis / microbiology*
  • Aspergillus flavus / genetics
  • Aspergillus flavus / isolation & purification*
  • Female
  • Granuloma / diagnosis
  • Granuloma / microbiology*
  • Humans
  • Paranasal Sinus Diseases / diagnosis
  • Paranasal Sinus Diseases / microbiology*
  • Paranasal Sinuses / microbiology*